Class I, Crowding, Increased overjet, Midline shift, Rotations

IPR, Elastics: Class II

Treatment information

  • Age: 21
  • Gender: female
  • Invisalign Treatment Option: Full

Diagnostic Summary

  • Class I relationship
  • Midline Shift
  • Maxillary midline deviation
  • Increased overjet
  • Crowding
  • Rotations

Use of:

  • Elastics: Class II
  • IPR
  • Power Ridge Feature on Buccal 4.2 (LR2), Buccal 3.2 (LL2)
  • Optimized Rotation Attachment (G3) on Buccal 1.5 (UR5), Buccal 2.3 (UL3), Buccal 4.3 (LR3), Buccal 4.4 (LR4), Buccal 4.5 (LR5), Buccal 3.3 (LL3), Buccal 3.5 (LL5)
  • Optimized Root Control Attachments (G4) on Buccal 1.1 (UR1), Buccal 3.4 (LL4)
  • Pressure Areas (G5) on Lingual 1.1 (UR1), Lingual 2.1 (UL1), Lingual 2.2 (UL2), Lingual 4.1 (LR1), Lingual 4.2 (LR2), Lingual 4.3 (LR3), Lingual 3.1 (LL1)
Courtesy of Dr R. Bordin 2017

Photos

Click to compare enlarged
upper
Initial
lower
right
front
left
Click to compare enlarged
upper
Final
lower
right
front
left
Click to compare enlarged
upper
Progress
lower
right
front
left

ClinCheck treatment plan

video anterior
video right-left
video upper-lower
Download ADF files
Initial
Additional Aligners

Treatment summary

Results Achieved

  • Class I relationship maintained
  • Functional canine guidance on both sides
  • Normal  overjet and overbite achieved
  • Overjet improved
  • Proper axial inclination of incisors
  • Arches aligned and coordinated
  • Arch form improved
  • Aesthetic smile line was achieved
  • Harmonic arches were achieved

Total treatment Time

  • 28 months

Number of aligners

  • Maxillary: 41 + 13 = 54
  • Mandibular: 41 + 19 = 60

Aligner wear time

  • 2-weeks

Comments

  • I think we only achived the satisfactory result (me and the client), because mainly of the extense use of Class II elastics, that helped not loosing any of the spaces created only by IPRs, without expanding arches (It was decided that her face is slim and already shows a lot of her teeth buccally). So by using elastics all the time, we managed to reduce the overjet,upper incisors proclination, helped not loosing anchorage and helped to solve the crowding without any proclination of lower incisors.The client wore religiously Class II elastics throughout the whole treatment, from start to end.The midline was not improved a lot, although it was defined in the additional aligners´ clincheck to make them less assymetric. In the additional aligners I tried to make them more coincident and improve also minor rotations left, and also to improve the levelling of the inferior arch. The levelling and rotations improved, but the midline didn´t a lot. But the client didn´t care since from the beginning about the lack of coincidence of the midline. It was not a initial goal of treatment.